[39F] Experiencing ear pain and hearing loss after Q-tip use

What might be happening

Based on the information you've provided, the following conditions could be causing your symptoms:

• Earwax impaction: This happens when earwax (cerumen) accumulates in your ear or becomes too hard to wash away naturally. Earwax impaction is one of the most common ear problems doctors see. The most common cause of impactions is the use of Q-tips in the ear canal (and other objects such as bobby pins and rolled napkin corners), which can remove superficial wax but also pushes the rest of the wax deeper into the ear canal.

  • Treatment often involves removing the earwax. A doctor may remove your earwax with a small plastic spoon called a curette, or irrigate your ear with warmed water, sodium bicarbonate, or other prescription-strength eardrops.

• Otitis externa (Swimmer's ear): This is an inflammation or infection of the outer ear and ear canal. It often results from water that remains in your ear after swimming, creating a moist environment that aids bacterial growth. Inserting fingers, cotton swabs or other objects in your ear can also lead to swimmer's ear by damaging the thin layer of skin lining your ear canal.

  • Treatment for swimmer's ear usually includes a course of antibiotics. If the infection is severe or doesn't respond to treatment, you may need to see a specialist.

What you can do

1. Avoid inserting anything into your ear, including Q-tips and fingers, as this can make the problem worse.
2. Over-the-counter pain relievers, such as ibuprofen (Advil, Motrin IB, others), can reduce pain and inflammation.
3. Over-the-counter solutions may be used to break up the earwax. However, these should not be used if you have a perforated eardrum or if you're not sure whether your eardrum is perforated.
4. See a healthcare provider if your symptoms persist or worsen.

What you should look out for

Seek immediate medical attention if you experience any of the following:

• Symptoms that worsen or don't improve within a few days
• Severe pain or discharge from your ear
• Complete loss of hearing in the affected ear
• Any new symptoms, such as dizziness or swelling around the ear

Please remember that while I strive to provide accurate information, I'm an AI and not a doctor. Always consult with a healthcare professional for a formal diagnosis and treatment.